Phelps County Regional Medical Center

Total Number of Beds: 20	Percent of Occupied Beds: 30%
Total Number of Residents: 6	Located Within a Hospital: Yes
Type of Ownership: Government - City/county	Multiple Nursing Homes by Same Owner: No
Councils the Nursing Home Participates in: Family & Resident	Medicare/Medicaid: Participating in Medicare Only
* Details Last Reported on: 03/12/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 5.81

Number of LPN/LVN Hours per Nursing Home Resident per Day: 4.38

Number of CNA Hours per Nursing Home Resident per Day: 5.28

Number of Staff Hours per Nursing Home Resident per Day: 15.47

Nursing Home Resident Information**:

Percent of Short-Stay Residents With Pressure Sores: 27%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 37%
Percent of Short-Stay Residents With Delirium: 16%
** Details Last Reported on: 3/12/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2001-04-11	2001-07-02	Mistreatment Deficiencies	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	Widespread	Potential for minimal harm
2001-04-11	2001-07-31	Resident Assessment Deficiencies	Make a complete assessment that covers all questions for areas that are listed in official regulations.	Pattern	Minimal harm or potential for actual harm
2001-04-11	2001-07-02	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	Widespread	Potential for minimal harm
2001-04-11	2001-07-31	Pharmacy Service Deficiencies	1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects.	Isolated	Minimal harm or potential for actual harm
2001-04-11	2001-07-31	Pharmacy Service Deficiencies	Act when the pharmacist reports something unusual.	Pattern	Minimal harm or potential for actual harm
2001-04-11	2001-07-02	Administration Deficiencies	Keep accurate and appropriate medical records.	Widespread	Potential for minimal harm
2001-04-11	2001-07-02	Administration Deficiencies	Set up or keep a group of people to review and ensure quality.	Widespread	Potential for minimal harm
2002-03-12	2002-05-16	Quality Care Deficiencies	Provide activities to meet the needs of each resident.	Pattern	Minimal harm or potential for actual harm
2002-03-12	2002-05-16	Environmental Deficiencies	Keep safe, clean and homelike surroundings.	Widespread	Potential for minimal harm
2002-03-12	2002-05-16	Environmental Deficiencies	Provide needed housekeeping and maintenance.	Widespread	Potential for minimal harm
2002-03-12	2002-05-16	Resident Assessment Deficiencies	Make a complete assessment that covers all questions for areas that are listed in official regulations.	Pattern	Minimal harm or potential for actual harm
2002-03-12	2002-05-16	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	Pattern	Minimal harm or potential for actual harm
2002-03-12	2002-05-16	Quality Care Deficiencies	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	Pattern	Minimal harm or potential for actual harm
2002-03-12	2002-05-16	Quality Care Deficiencies	Have enough nurses to care for every resident in a way that maximizes the resident's well being.	Pattern	Minimal harm or potential for actual harm
2002-03-12	2002-05-16	Nutrition and Dietary Deficiencies	Make sure that the attending doctor orders special diets.	Isolated	Minimal harm or potential for actual harm
2002-03-12	2002-05-16	Pharmacy Service Deficiencies	Keep drugs and other similar products locked safely and properly stored.	Widespread	Minimal harm or potential for actual harm
2002-03-12	2002-05-16	Environmental Deficiencies	Have a program to keep infection from spreading.	Isolated	Minimal harm or potential for actual harm
2003-03-12	2003-05-07	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	Widespread	Potential for minimal harm
2003-03-12	2003-05-07	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	Pattern	Minimal harm or potential for actual harm

*** All violations listed are based on federal government records.